Rosa Dental Clinic, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROSA DENTAL CLINIC, PA

Practice address

603 Hospital Dr
Suite #2
Mountain Home, AR 72653-2914

Phone

(870) 425-5955

Fax

(870) 425-5955

NPI assigned

Jun 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Don K. Rosa, D.D.S.NPI 1457396996

Title

President

Phone

(870) 425-5955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Don K. Rosa, D.D.S.

  • General Practice Dentistry
  • Mountain Home, AR
  • NPI 1457396996
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1922043348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HOSPITAL DR",
            "address_2": "SUITE #2",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532914",
            "telephone_number": "870-425-5955",
            "fax_number": "870-425-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HOSPITAL DR",
            "address_2": "SUITE #2",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532914",
            "telephone_number": "870-425-5955",
            "fax_number": "870-425-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA DENTAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-425-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Roelke, P.A.
• Maureen A Roesler, LPC
• Heather Rogero, MA, REV. (LPC), PCA
• Melissa Ann Rohr, PHARM.D.
• Rooted Kids LLC
• Don K. Rosa, D.D.S.
• Lagena Rosa, DC
• Tyne Rose
• Christopher Rowley
• Toby Rowlinson, MHPP

• General Practice Dentistry in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.